Severity and Management of patients with Snake and Scorpion Envenomation Admitted to an Intensive Care Unit in Southeastern Turkey: A retrospective study

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BOZKURT FIRDEVS TUGBA; AYDIN BURc; TANRIVERDI TUGBA BINGOL; PATMANO GULCIN; TERCAN MEHMET; KAYA AHMET

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Journal: Asia Pacific Journal of Medical Toxicology Year:2021 | Volume:10 | Issue:2 Page(s): 38-43

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Title

Severity and Management of patients with Snake and Scorpion Envenomation Admitted to an Intensive Care Unit in Southeastern Turkey: A retrospective study

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Keywords

Venom

poisoning

critical care

Middle East

scorpions

snakes

envenomation

Abstract

Background: Snake and scorpion enVenomation is a common public health problem in many regions of the world. Life-threatening emergencies may occur in patients with snake and scorpion enVenomation; therefore, these patients may be required intensive care unit (ICU) follow-up. Our objective was to present the demographic and clinical characteristics, treatment modalities and short term outcomes of patients with snake and scorpion enVenomation who followed up in our tertiary hospital ICU. Methods: Patient records were retrospectively searched and snake or scorpion enVenomation patients with ICU stay were identified with relevant keywords and ICD-10 codes between January 2010 and September 2019. All cases with ICU stay were included for study analysis, regardless of patient age. Scorpion and snake enVenomation managed in outpatient clinic were excluded from our data. poisoning severity score (PSS) system was used to present signs and symptoms and PSS was calculated. Primary and critical care treatment modalities were identified and analyzed. Results: Forty patients (25 with snake bites [62. 5%] and 15 with scorpion sting [37. 5%]) were included in this retrospective study. Local and systemic effects have been reported in 33 (82. 5%) and in 27 patients (67. 5%), respectively. Majority of patients suffered from pain or disturbances in sensory neural, hematological, cardiovascular or metabolic systems. Median PSS was 2 (0-4) and median length of stay in ICU was 2 days (1-12). Mortality rate was 2. 5%. AntiVenom immunoglobulins (n=32, %80. 0), systemic antibacterial agents (n=24, 60%), and paracetamol (n=21, 52. 5%) were the most common systemically administered treatments. Surgical interventions were performed in 4 patients (10%) Conclusions: We reported that snake and scorpion enVenomation were mostly admitted to the ICU with local and/or systemic symptoms for advanced monitoring and observation. Although life treating emergencies and mortality was uncommon in our study, we think that these patients should be closely followed up in ICU.

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APA: Copy

BOZKURT, FIRDEVS TUGBA, AYDIN, BURc, TANRIVERDI, TUGBA BINGOL, PATMANO, GULCIN, TERCAN, MEHMET, & KAYA, AHMET. (2021). Severity and Management of patients with Snake and Scorpion Envenomation Admitted to an Intensive Care Unit in Southeastern Turkey: A retrospective study. ASIA PACIFIC JOURNAL OF MEDICAL TOXICOLOGY (APJMT), 10(2), 38-43. SID. https://sid.ir/paper/690716/en

Vancouver: Copy

BOZKURT FIRDEVS TUGBA, AYDIN BURc, TANRIVERDI TUGBA BINGOL, PATMANO GULCIN, TERCAN MEHMET, KAYA AHMET. Severity and Management of patients with Snake and Scorpion Envenomation Admitted to an Intensive Care Unit in Southeastern Turkey: A retrospective study. ASIA PACIFIC JOURNAL OF MEDICAL TOXICOLOGY (APJMT)[Internet]. 2021;10(2):38-43. Available from: https://sid.ir/paper/690716/en

IEEE: Copy

FIRDEVS TUGBA BOZKURT, BURc AYDIN, TUGBA BINGOL TANRIVERDI, GULCIN PATMANO, MEHMET TERCAN, and AHMET KAYA, “Severity and Management of patients with Snake and Scorpion Envenomation Admitted to an Intensive Care Unit in Southeastern Turkey: A retrospective study,” ASIA PACIFIC JOURNAL OF MEDICAL TOXICOLOGY (APJMT), vol. 10, no. 2, pp. 38–43, 2021, [Online]. Available: https://sid.ir/paper/690716/en

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